American Journal of Ophthalmology
Volume 148, Issue 2 , Pages 227-234.e1 , August 2009

Spontaneous Corneal Clearance Despite Graft Detachment in Descemet Membrane Endothelial Keratoplasty

  • Chandra Balachandran

      Affiliations

    • Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands
    • Melles Cornea Clinic Rotterdam, Rotterdam, The Netherlands
    • ,
  • Lisanne Ham

      Affiliations

    • Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands
    • Melles Cornea Clinic Rotterdam, Rotterdam, The Netherlands
    • ,
  • Christianne A. Verschoor

      Affiliations

    • Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands
    • Melles Cornea Clinic Rotterdam, Rotterdam, The Netherlands
    • ,
  • T. San Ong

      Affiliations

    • Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands
    • Melles Cornea Clinic Rotterdam, Rotterdam, The Netherlands
    • ,
  • Jacqueline van der Wees

      Affiliations

    • Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands
    • Amnitrans EyeBank Rotterdam, Rotterdam, The Netherlands
    • ,
  • Gerrit R.J. Melles

      Affiliations

    • Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands
    • Melles Cornea Clinic Rotterdam, Rotterdam, The Netherlands
    • Amnitrans EyeBank Rotterdam, Rotterdam, The Netherlands
    • Corresponding Author InformationInquiries to Gerrit R. J. Melles, Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands

,Accepted 21 February 2009.

References 

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  2. Melles GRJ, Eggink FAGJ, Lander F, et al. A surgical technique for posterior lamellar keratoplasty. Cornea. 1998;17:618–626
  3. Melles GRJ, Lander F, Beekhuis WH, et al. Posterior lamellar keratoplasty for a case of pseudophakic bullous keratopathy. Am J Ophthalmol. 1999;127:340–341
  4. Melles GRJ, Lander F, van Dooren BTH, et al. Preliminary clinical results of posterior lamellar keratoplasty through a sclerocorneal pocket incision. Ophthalmology. 2000;107:1850–1857
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  6. Melles GR, Wijdh RH, Nieuwendaal CP. A technique to excise the Descemet membrane from a recipient cornea (Descemetorhexis). Cornea. 2004;23:286–288
  7. Melles GRJ, Kamminga N. Techniques for posterior lamellar keratoplasty through a scleral incision. Ophthalmologe. 2003;100:689–695
  8. Terry MA, Ousley PJ. Deep lamellar endothelial keratoplasty in the first United States patients: early clinical results. Cornea. 2001;20:239–243
  9. Terry MA, Ousley PJ. Small-incision deep lamellar endothelial keratoplasty (DLEK): 6-month results in the first prospective clinical study. Cornea. 2005;24:59–65
  10. Price FW, Price MO. Descemet's stripping with endothelial keratoplasty in 50 eyes: a refractive neutral corneal transplant. J Refract Surg. 2005;21:339–345
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  13. Melles GRJ, Rietveld FJR. Transplantation of Descemet's membrane carrying viable endothelium through a small scleral incision. Cornea. 2002;21:415–418
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  15. Tappin M. A method for true endothelial cell (Tencell) transplantion using a custom made cannula for the treatment of endothelial cell failure. Eye. 2007;21:775–779
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  18. Romaniv N, Price MO, Price FW, Mamalis N. Donor Descemet membrane detachment after endothelial keratoplasty. Cornea. 2006;25:943–947
  19. Terry MA, Hoar KL, Wall J, Ousley P. Histology of dislocations in endothelial keratoplasty (DSEK and DLEK): a laboratory-based, surgical solution to dislocation in 100 consecutive DSEK cases. Cornea. 2006;25:926–932
  20. Wylegała E, Tarnawska D, Dobrowolski D, Janiszewska D. Outcomes of endothelial keratoplasty with Descemetorhexis (DSEK). Klin Oczna. 2007;109:287–291
  21. Srinivasan S, Rootman DS. Slit-lamp technique of draining interface fluid following Descemet's stripping endothelial keratoplasty. Br J Ophthalmol. 2007;91:1202–1205
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  24. Mehta JS, Chua J, Poh R, et al. Primary graft failure after Descemet-stripping automated endothelial keratoplasty: clinico-pathological study. Cornea. 2008;27:722–726
  25. Busin M, Bhatt PR. Late detachment of donor graft after Descemet stripping automated endothelial keratoplasty. J Cataract Refract Surg. 2008;34:159–160
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  27. Nieuwendaal CP, Lapid-Gortzak R, van der Meulen IJ, Melles GRJ. Posterior lamellar keratoplasty using Descemetorhexis and organ cultured donor corneal tissue (Melles technique). Cornea. 2006;25:933–936
  28. Lie JT, van der Wees J, Melles GRJ. Donor tissue preparation for Descemet membrane endothelial keratoplasty (DMEK). J Cataract Refract Surg. 2008;34:1578–1583
  29. Van Dooren B, Mulder PG, Nieuwendaal CP, Beekhuis WH, Melles GR. Endothelial cell density after posterior lamellar keratoplasty (Melles technique): 3 years follow-up. Am J Ophthalmol. 2004;138:211–217

PII: S0002-9394(09)00156-1

doi: 10.1016/j.ajo.2009.02.033

American Journal of Ophthalmology
Volume 148, Issue 2 , Pages 227-234.e1 , August 2009

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